Healthcare Provider Details

I. General information

NPI: 1285520643
Provider Name (Legal Business Name): ARIA ROWSHAN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2025
Last Update Date: 12/21/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11601 IRON BRIDGE RD
CHESTER VA
23831-1466
US

IV. Provider business mailing address

11601 IRON BRIDGE RD
CHESTER VA
23831-1466
US

V. Phone/Fax

Practice location:
  • Phone: 804-717-5300
  • Fax: 804-748-7269
Mailing address:
  • Phone: 804-717-5300
  • Fax: 804-748-7269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0110011020
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: